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Organization

BLOOMING WISDOM PSYCHIATRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER HALL DO (OWNER)
(814) 490-9235
Entity
Organization

Contact information

Practice address
789 ETHAN ALLEN HWY, MILTON, VT 05468-9797
(802) 221-3313
(802) 209-3507
Mailing address
PO BOX 85, MILTON, VT 05468-0085
(802) 221-3313
(802) 209-3507

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/13/2025
Last updated
01/13/2025
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